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首页> 外文期刊>BMC Geriatrics >FRAILTOOLS study protocol: a comprehensive validation of frailty assessment tools to screen and diagnose frailty in different clinical and social settings and to provide instruments for integrated care in older adults
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FRAILTOOLS study protocol: a comprehensive validation of frailty assessment tools to screen and diagnose frailty in different clinical and social settings and to provide instruments for integrated care in older adults

机译：FRAILTOOLS研究方案：对脆弱性评估工具进行全面验证，以筛选和诊断不同临床和社会环境中的脆弱性，并为老年人的综合护理提供工具

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Dozens of scales and questionnaires have been used in the detection of frailty; however, a generalized method for its screening and diagnosis is still lacking in clinical settings. FRAILTOOLS′ main objective is to evaluate the usefulness of frailty scales in the detection of frailty in different clinical and social settings, and its integration in management algorithms for the frail older patient. FRAILTOOLS is an observational, longitudinal and prospective study with a follow-up of 6, 12 and 18?months. People older than 75?years old will be recruited from three separate clinical settings (acute geriatric wards, geriatric outpatient clinics and primary care) and one social setting (nursing homes). Exclusion criteria include Mini-mental State Examination ?20 points, and a Barthel index ?90 points, except in nursing home residents (?40 points). The participants will be recruited in Spain, Italy, France, United Kingdom and Poland. The total sample size will be of 1.940 subjects, 97 subjects in each clinical setting by center. A personal interview with each participant will take place to register data on comorbidity (Charlson Index), functional (SPPB, Barthel and Lawton indexes), cognitive (MMSE) and frailty status (Fried Phenotype, Frailty Trait Scale – short version, SHARE-FI, 35-Items Rockwood Frailty Index, Clinical Frailty Scale, FRAIL scale and Gérontop?le Frailty Screening Tool) in the baseline visit, month 12 and month 18 visit of follow up. At 6?month a phone call will be made to assess whether there have been falls and to check the vital status. Currently, the usefulness of certain assessment tools in social and clinical settings have not been properly assessed, including their ability to predict the individual risk for different adverse outcomes, which is the main interest in daily practice. The FRAILTOOLS project concentrates on providing screening and diagnostic tools for frailty in those settings where its prevalence is the highest and where efforts in prevention could make a significant change in the trend towards disability. Comprehensive validation of frailty assessment tools in older adults in different clinical and social settings (FRAILTOOLS), NCT02637518 (date of registration: 12/18/2015).
机译：数十种量表和问卷已用于检测身体虚弱。然而，在临床环境中仍缺乏通用的筛查和诊断方法。 FRAILTOOLS的主要目标是评估脆弱性量表在不同临床和社会环境中检测脆弱性的有用性，以及将其集成到年龄较弱的老年患者的管理算法中。 FRAILTOOLS是一项观察性，纵向和前瞻性研究，随访期为6、12和18个月。年龄在75岁以上的人将从三个独立的临床环境（急诊老年病房，老年门诊和初级保健）和一个社交环境（疗养院）招募。排除标准包括：迷你精神状态检查<20分，巴塞尔指数<90分，疗养院居民除外（<40分）。参与者将在西班牙，意大利，法国，英国和波兰招募。总样本量为1.940名受试者，按中心在每种临床情况下为97名受试者。将对每个参与者进行一次个人访谈，以注册有关合并症（查尔森指数），功能性（SPPB，巴塞尔和劳顿指数），认知性（MMSE）和体弱状态（油炸表型，体弱量表-简短版，SHARE-FI）的数据。基线访视，随访的第12个月和第18个月，共35项Rockwood脆弱指数，临床脆弱量表，FRAIL量表和Gérontople脆弱物筛选工具。在6个月时，将打一个电话，以评估是否有跌倒并检查生命状况。当前，尚未正确评估某些评估工具在社会和临床环境中的有用性，包括它们预测不同不良后果的个体风险的能力，这是日常实践中的主要兴趣。 FRAILTOOLS项目专注于在那些患病率最高且预防工作可以极大地改变残疾趋势的环境中为脆弱者提供筛查和诊断工具。 NCT02637518（注册日期：2015年12月18日），在不同临床和社会环境下对老年人的脆弱评估工具进行了全面验证（FRAILTOOLS）。

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